Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Korin Yvette Fontaine

Individual provider Clinical Social Worker · NPI 1417402017

Korin Yvette Fontaine is a Clinical Social Worker in Missoula, Montana. Qualified in 2017, 9 years ago. Licensed in Montana.

Years since qualifying
9
Licensed in
MT
In the registry since
2016
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Practice location Address checks out

2415 S Catlin St
Missoula, MT 59801-7822
Phone: (406) 549-0114
Fax: (406) 549-0267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence BBH-LCSW-LIC-63665 (MT)

Record details

NPI number1417402017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2016
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Missoula